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331 4th St 2014 HVAC CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD MECHANICAL HVAC PERMI-ATLANTIC BEACH, FL 32233 CALL BY 4PM FOR NEXT DAY IM9PMeUDMaXW580WE LINE 247-5814 ]OB IN . Job ID• 14-MECH-237 Job Type: MECHANICAL HVAC ONLY Description: 1 CU 1 AHU 3 TONS Estimated Value: Issue Date: 10/16/2014 Expiration Date: 4/14/2015 PROPERTY ADDRESS: Address: 331 4TH ST RE Number: 169834-0100 PROPERTY OWNER: Name: HEWITT, DIANE M Address: 150 EXECUTIVE CIR GENERAL CONTRACTOR INFORMATION: Name: AIR SOURCE AMERICA INC Address: Phone: - - PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to inspection. Failure to comply will result in a failed inspection and reinspect fees. No exceptions. FEES: Furnaces and Heating $24.00 AC and Refrigeration $24.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $107.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 .TOB ADDRESS: ?j?j Lk--k-— ` PERMIT# PROJECT VALUE $5549 ARI#_6938000 REQUIRED Air Handling Equipment Only —x—Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity 1 Tons Per Unit 3 Heat: Unit Quantity I BTU's Per Unit 36,000_ Seer Rating 15 Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name DIANE HEWITT Phone Number 904-853-5112 Mechanical Company AIR SOURCE AMERICA Office Phone 904-233-8831_Fax 904-372-9379 Co. Address: 207 NORTH 20TH STREET CityJAX BEACH State FL_Zip 32250 License Holder(Print): JASON BUEHLER State Certification/Registration#CAC 1816716 Notarized Signature of LiicceRnse Ho r RACY NOTARYPUBW e me this 15 day 2014 STATE OF FLORIDA CamnW FF129M Signature of NotaryPub E*kn 6/4/2018 Oct 1514 03:04p Air Source America Inc 904-372-9379 p.3 r CERTIFIEDON" swill viww.ahri dire r r Certificate of Product Ratings AHRI Certified Reference Number: 6938000 Date: 10115/2014 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25HBB336C31 Indoor Unit Model Number: FV4CN(B,F)005L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: COMFORT SERIES PURON HP Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh)- 35400 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ ^7 F: 34200 Region IV HSPF Rating(Heating). 9.00 Heating Capacity(Btuh)@ 17 F: 21400 Retings folk3wed by an asterisk(')indicate a voluntary crate of previously published data,unless accompanied with a WAS,whici indicates an involuntary rerate. DISCLAIMER AI4RI does not endorse the produd(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the producifs),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed to the directory a t www.ahrlciirectofy.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI_This Certificate shall only be used for individual,personal and Mc confidential reference purposes.The contents of this Certificate may not.In whole or in part.be reproduced;copied;disseminated; AL as-11 entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's Individual, personal and confidential reference. AIR-C04DITIONING.HEATINQ. CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information forthe model cited on this certificate can be verified at www.al3ridlrectury.org,dick on'verity Certificate"link .,,e make lire better- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is Eisted above,and the Ceftificate No.,which is listed at bottom right �— — -- ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130578736326409739